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CARLOS ANTONIO HERNANDEZ-AVILA MD
NPI 1467511568
Psychiatry & Neurology - Addiction Psychiatry in Newington, CT

Active since December 06, 2006PECOS Enrolled
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES, NEWINGTON, CT 06111(860) 666-7621(860) 594-4900 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Antonio Hernandez-avila Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS ANTONIO HERNANDEZ-AVILA MD (NPI 1467511568) is an individual addiction psychiatry provider in Newington, Connecticut, licensed in Connecticut (035921) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467511568
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameCARLOS ANTONIO HERNANDEZ-AVILACredential: MD
Location Address525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCESNewington, CT 06111
Mailing Address525 Russell Road, Cedarcrest Hospital Human ResourcesNewington, CT 06111 · (860) 666-7621 · Fax (860) 594-4900
Phone(860) 666-7621
Fax(860) 594-4900
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1467511568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CT · 035921
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 035921 (CT)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 035921 (CT)
525 RUSSELL ROAD, Newington, CT 06111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Antonio Hernandez-avila Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carlos Hernandez-avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Connecticut
6.3 mi
Psychiatric Hospital
500 VINE STREET
Hartford, CT 06112
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1245256247 (Connecticut), NPI 1720013360 (Connecticut)
  • 109 clinicians in this Medicare group
NPI 1487689022 (860) 297-0975
Harvest Healthcare LLC
8.8 mi
Clinical
21 WATERVILLE RD
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 144 clinicians in this Medicare group
NPI 1477712917 (860) 284-0182

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J FORTIN MD
Psychiatry & Neurology (Psychiatry)
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-7621
DR. BARBARA L EDELSTEIN MD
Psychiatry & Neurology (Psychiatry)
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-7621
DR. STEVEN M STEIN MD
Internal Medicine
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-7621
DR. ASHA SATPAUL GARG MD
Nuclear Medicine
525 RUSSELL ROAD, HUMAN RESOURCES CEDARCREST HOSPITAL
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-7621
DR. MANJU AGGARWAL MD
Family Medicine
525 RUSSELL ROAD, CEDARCREST HOSPITAL HUMAN RESOURCES
NEWINGTON, CT 06111
Capitol Planning Region (860) 666-7621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Hernandez-avila's NPI number?

The NPI number for Carlos Hernandez-avila is 1467511568. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Carlos Hernandez-avila located?

Carlos Hernandez-avila practices at 525 Russell Road Cedarcrest Hospital Human Resources, Newington, CT 06111. The listed phone number is (860) 666-7621.

What is Carlos Hernandez-avila's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Carlos Hernandez-avila enrolled in Medicare?

Yes. Carlos Hernandez-avila is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Hernandez-avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Hernandez-avila reassigns Medicare benefits to 2 organizations: State Of Connecticut (Hartford, CT) and Harvest Healthcare LLC (Avon, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Hernandez-avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Hernandez-avila was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.